title: The Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Adoption Scale: evaluating the diffusion of a tobacco treatment innovation to a statewide prenatal care program and providers.
abstract: When a new patient education program is being considered for adoption by a public health agency, it is essential to determine provider perceptions of its acceptability for routine use. In 2007, the West Virginia Bureau of Public Health Perinatal Program, Right From The Start (RFTS), decided to adopt the Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Program. RFTS is a statewide perinatal home visitation initiative delivered by designated care coordinators (DCCs). The authors developed the SCRIPT Adoption Scale (SAS) in the absence of a valid instrument to assess the perceived attributes of a tobacco treatment innovation among the RFTS DCC population. They evaluated the validity of the five constructs of the Rogers' Diffusion of Innovations model in an organization (relative advantage, compatibility, complexity, observability, and trialability) to predict SCRIPT use. After reviewing the literature and developing draft SAS forms, 2 expert panel reviews established the face and content validity of a 43-item SAS. It was administered to 90% (85/90) of the RFTS DCC population. Psychometric analyses confirmed the validity and reliability of a 28-item scale. All 28 items had factor loadings greater than 0.40 (range = 0.43-0.81). All SAS subscales were strongly correlated, r = 0.51 to 0.97, supporting the convergent validity of a 5-factor SAS. There was a significant association between the DCC SAS score and DCC SCRIPT Program Implementation Index supporting the SAS convergent (construct) validity (r = 0.38). The SAS internal consistencyr = 0.93 and stabilityr = 0.76. Although 2 specific subscales need to be improved, the SAS can be adapted by prenatal care programs to measure the attributes of adoption of new, evidence-based patient education and counseling methods.
authors.affiliation: a Department of Prevention and Community Health, School of Public Health and Health Services , George Washington University , Washington , District of Columbia , USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Windsor
authors.forename: Sean
authors.initials: S
authors.lastname: Cleary
authors.forename: Kalpana
authors.initials: K
authors.lastname: Ramiah
authors.forename: Jeannie
authors.initials: J
authors.lastname: Clark
authors.forename: Lorien
authors.initials: L
authors.lastname: Abroms
authors.forename: Amanda
authors.initials: A
authors.lastname: Davis
mesh_terms: D001291:Attitude of Health Personnel; D004059:Diffusion of Innovation; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D010353:Patient Education as Topic / Q000458:organization & administration; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration*; D015397:Program Evaluation; D011594:Psychometrics; D015203:Reproducibility of Results; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D014903:West Virginia